Test Directory

Test Code
5199
Test Name
Amelogenesis Imperfecta And Related Disorders NGS Panel
CPT Codes
81479
Expected Turnaround Time
Typically 2 to 4 weeks from receipt of a sample in the laboratory. All cases involving ongoing pregnancies will be expedited.
Clinical Utility
Genetic analysis to provide a molecular diagnosis of this disorder. Recommended for individuals with a personal and/or family history of this disorder to ensure appropriate treatment and establish recurrence risk for family members.
Specimen and Container Info

Non-Prenatal Specimens

Preferred/Alternate

Specimen Type

Containers

Volume

Preferred Specimen Type

Whole Blood

Lavender Top (EDTA)

3 mL

Alternate Specimen Type

Genomic DNA

1.5 mL Tube

3 µg (at a concentration of at least 30 ng/µl), preferably in TE solution.

Alternate Specimen Type

Fibroblasts

T-25 Flasks

2 confluent T-25 flasks, filled to capacity

Alternate Specimen Type

Saliva (Whole blood is recommended for CNV)

DNA Self-Collection Kit or Oragene Saliva Collection Kit for Young Children

Follow kit instructions (www.dnagenotek.com)

Prenatal Specimens

Either specimen type below is acceptable.

Specimen Type

Containers

Volume

Cultured cells

T-25 Flasks

2 confluent T-25 flasks derived from amnio or CVS samples.

Genomic DNA

1.5 mL Tube

3 µg (at a concentration of at least 30 ng/µl), preferably in TE solution.

NOTE: For specimens from outside of North America, the preferred specimen type is Genomic DNA. HNL Genomics does not recommend shipping whole blood or cultured cells from any location other than the United States, Canada, or Mexico.

Transport Instructions
  • Transport at room temperature within 24 hours.
  • If the specimen cannot be transported to the lab within 24 hours, refrigerate for up to 72 hours.
  • Do not freeze or expose to extreme temperatures, refrigerate for up to 72 hours if cannot be transported to lab within 24 hours. 
Stability Requirements

Room Temperature

24 hours

Refrigerated

72 hours

Causes for Rejection
  • Improperly labeled specimen (minimum of two patient identifiers)
  • Inappropriate specimen type
  • Incomplete or incorrect test request form
  • Insufficient volume
  • Specimen has leaked in transit
  • Specimen without a test order
Methodology
Next Generation Sequencing and Copy Number Variation Analysis
Performing Location
Genomics - Snowdrift
Alternate Names
  • AI
  • DI
  • DD
Description

Heritable dental developmental anomalies include amelogenesis imperfecta (AI), dentinogenesis imperfecta (DI), and dentin dysplasia (DD). AI, also called congenital enamel hypoplasia, is an inherited defect of dental enamel formation. The teeth are small, discolored, pitted or grooved, and prone to rapid wear and breakage. It affects all or nearly all of the teeth in both the primary and permanent dentitions. DI is a hereditary disorder of dentin formation. It is characterized by blue-gray or amber brown and opalescent teeth, bulbous shaped crowns, narrow roots, and small or obliterated root canals. Both primary and secondary teeth are affected. DI is an entity clearly distinct from osteogenesis imperfecta. DD represents another inherited disorder of den­tin formation. Typically, the primary teeth appear opalescent, but secondary teeth are normally colored. The roots of the teeth are of normal shape and morphology. The pulp chambers of the secondary teeth are thistle-shaped. Most teeth show accumulations of pulp stones in these unusually shaped pulp chambers.

The Amelogenesis imperfecta and related disorders NGS panel consists of sixteen genes: AMELX, C4ORF26, DLX3, DSPP, ENAM, FAM20A, FAM83H, GPR68, ITGB6, KLK4, LAMA3, LAMB3, MMP20, SLC24A4, SMOC2 and WDR72.

 

Gene

Disorder

MIM

Inheritance

AMELX

Amelogenesis imperfecta, type 1E

301200

XLD

C4orf26

Amelogenesis imperfecta, type IIA4

614832

AR

DLX3

Amelogenesis imperfecta, type IV

104510

AD

DSPP

Dentin dysplasia, type II

Dentinogenesis imperfecta, Shields type II

Dentinogenesis imperfecta, Shields type III

Deafness, autosomal dominant 39, with dentinogenesis

125420

125490

125500

605594

AD

AD

AD

AD

ENAM

Amelogenesis imperfecta, type IB

Amelogenesis imperfecta, type IC

104500

204650

AD

AR

FAM20A

Amelogenesis imperfecta, type IG

204690

AR

FAM83H

Amelogenesis imperfecta, type III

130900

AD

GPR68

Amelogenesis imperfecta, GPR68 related

-

AR

ITGB6

Amelogenesis imperfecta, type IH

616221

AR

KLK4

Amelogenesis imperfecta, type IIA1

204700

AR

LAMA3

Laryngoonychocutaneous syndrome

245660

AR

LAMB3

Amelogenesis imperfecta, type IA

104530

AD

MMP20

Amelogenesis imperfecta, type IIA2

612529

AR

SLC24A4

Amelogenesis imperfecta, type IIA5

615887

AR

SMOC2

Dentin dysplasia, type I, with microdontia and misshapen teeth

125400

AR

WDR72

Amelogenesis imperfecta, type IIA3

613211

AR

 

 

Testing Schedule
Monday-Friday
Genes
AMELX, C4ORF26, DLX3, DSPP, ENAM, FAM20A, FAM83H, GPR68, ITGB6, KLK4, LAMA3, LAMB3, MMP20, SLC24A4, SMOC2, WDR72
Disease Group
Hair and Nail disorders, Skin, Tooth